Life Change Therapy LLC
NPI 1275338857 · Counselor · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Change Therapy LLC is a Counselor organization in Grand Rapids, MI (NPI 1275338857).
Provider details
- NPI number
- 1275338857
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Brigid Havens, Counselor(906) 319-8725
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-17
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Life Change Therapy LLC's NPI number?
- Life Change Therapy LLC's National Provider Identifier (NPI) is 1275338857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Change Therapy LLC?
- Life Change Therapy LLC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Life Change Therapy LLC located?
- Life Change Therapy LLC's practice location on file with NPPES is 4612 Plainfield Ave Ne, Grand Rapids, MI 49525-1229.
- What is Life Change Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Change Therapy LLC is (906) 319-8725.
- Does Life Change Therapy LLC accept Medicare?
- Life Change Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Change Therapy LLC?
- The authorized official listed on Life Change Therapy LLC's NPPES record is Brigid Havens, Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Change Therapy LLC's NPI active?
- Yes — Life Change Therapy LLC's NPI (1275338857) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.